MODERATE SEDATION
CERTIFICATION 240 QUESTIONS
AND CORRECT ANSWERS GRADED
A+
Moderate "Conscious" Sedation - ANSWER- A minimally depressed
level of consciousness induced by the administration of
pharmacologic agents in which the patient retains continuous and
independent ability to maintain protective reflexes and a patent
airway and to be aroused by physical or verbal stimulation.
Levels of Sedation Analgesia - ANSWER- 1. Minimal Sedation
2. Moderate Sedation/Analgesia
3. Deep Sedation/Analgesia
4. General Anesthesia
Minimal Sedation - ANSWER- 1. Patient is able to respond normally
to verbal stimulation.
,2. Airway and Spontaneous Ventilation is not affected and thus
"normal"
3. Cardiovascular function is not affected
Moderate Sedation/Analgesia - ANSWER- 1. Patient responds to
verbal or tactile stimulation
2. No intervention to maintain patent airway
3. Spontaneous ventilation is adequate
4. Cardiovascular function is usually maintained
Deep Sedation/Analgesia - ANSWER- 1. Patient responds to repeated
or painful stimulation
2. May require intervention to maintain patent airway
3. Spontaneous ventilation may be inadequate
4. Cardiovascular function is usually maintained
General Anesthesia - ANSWER- 1. Patient cannot be aroused, even
with painful stimuli
2. Intervention required to maintain patent airway
3. Spontaneous ventilation is frequently inadequate
4. Cardiovascular function may be impaired
Goals of Safe Sedation - ANSWER- 1. Maintain adequate ventilation,
homeostasis, and circulation
2. Maintenance of appropriate level of consciousness
,3. Promote comfort by elevating pain threshold
4. Patient Safety-be knowledgeable about possible consequences of
respiratory depression, airway obstruction, apnea, hypoxia,
hypercapnia, bradycardia, asystole, brain injury/death
5. Using the essential components required to conduct safe sedation
6. Understand the importance of a systematic approach to sedation
that promotes safety and efficacy.
Role of the Sedation Nurse - ANSWER- 1. Pre-op Nursing
Assessment
2. Intra-op Nursing Actions: medication administration; patient
monitoring; patient safety; procedure specific
3. Post-op monitoring during recovery
4. Follow post-op d/c criteria
5. Explain post-d/c written instructions
6. Follow-up
JCAHO Care Standard: Qualified Individuals conducting sedation must
possess education, training, and experience in? - ANSWER- 1.
Evaluating patients prior to moderate or deep sedation
2. Rescuing patients who slip into a "deeper than desired" level of
sedation or anesthesia
3. Managing a compromised airway during a procedure
4. Handling a compromised CV system during a procedure.
, Pre-Operative Nursing Assessment Steps - ANSWER- 1. Chart Review
2. Patient Interview
3. Physical Exam and Review of Systems
Pre-sedation Assessment Overview: Parts of the Assessment -
ANSWER- 1. NPO Status
2. Chief complaint
3. Current medications
4. Drug allergies
5. H/O substance abuse
6. Concurrent medical problems
7. Communication Ability
How is Aspiration Risk Reduced - ANSWER- 1. Pre-procedure
fasting--Defined as no food for 6 hours prior to procedure. May
have clear fluids until 2h prior to procedure.
2. Medication is titrated to maintain reflexes
What conditions place patient's at enhanced risks for aspiration with
sedation? - ANSWER- 1. Obesity
2. DM
3. Pregnancy
4. Bowel Dysfunction
CERTIFICATION 240 QUESTIONS
AND CORRECT ANSWERS GRADED
A+
Moderate "Conscious" Sedation - ANSWER- A minimally depressed
level of consciousness induced by the administration of
pharmacologic agents in which the patient retains continuous and
independent ability to maintain protective reflexes and a patent
airway and to be aroused by physical or verbal stimulation.
Levels of Sedation Analgesia - ANSWER- 1. Minimal Sedation
2. Moderate Sedation/Analgesia
3. Deep Sedation/Analgesia
4. General Anesthesia
Minimal Sedation - ANSWER- 1. Patient is able to respond normally
to verbal stimulation.
,2. Airway and Spontaneous Ventilation is not affected and thus
"normal"
3. Cardiovascular function is not affected
Moderate Sedation/Analgesia - ANSWER- 1. Patient responds to
verbal or tactile stimulation
2. No intervention to maintain patent airway
3. Spontaneous ventilation is adequate
4. Cardiovascular function is usually maintained
Deep Sedation/Analgesia - ANSWER- 1. Patient responds to repeated
or painful stimulation
2. May require intervention to maintain patent airway
3. Spontaneous ventilation may be inadequate
4. Cardiovascular function is usually maintained
General Anesthesia - ANSWER- 1. Patient cannot be aroused, even
with painful stimuli
2. Intervention required to maintain patent airway
3. Spontaneous ventilation is frequently inadequate
4. Cardiovascular function may be impaired
Goals of Safe Sedation - ANSWER- 1. Maintain adequate ventilation,
homeostasis, and circulation
2. Maintenance of appropriate level of consciousness
,3. Promote comfort by elevating pain threshold
4. Patient Safety-be knowledgeable about possible consequences of
respiratory depression, airway obstruction, apnea, hypoxia,
hypercapnia, bradycardia, asystole, brain injury/death
5. Using the essential components required to conduct safe sedation
6. Understand the importance of a systematic approach to sedation
that promotes safety and efficacy.
Role of the Sedation Nurse - ANSWER- 1. Pre-op Nursing
Assessment
2. Intra-op Nursing Actions: medication administration; patient
monitoring; patient safety; procedure specific
3. Post-op monitoring during recovery
4. Follow post-op d/c criteria
5. Explain post-d/c written instructions
6. Follow-up
JCAHO Care Standard: Qualified Individuals conducting sedation must
possess education, training, and experience in? - ANSWER- 1.
Evaluating patients prior to moderate or deep sedation
2. Rescuing patients who slip into a "deeper than desired" level of
sedation or anesthesia
3. Managing a compromised airway during a procedure
4. Handling a compromised CV system during a procedure.
, Pre-Operative Nursing Assessment Steps - ANSWER- 1. Chart Review
2. Patient Interview
3. Physical Exam and Review of Systems
Pre-sedation Assessment Overview: Parts of the Assessment -
ANSWER- 1. NPO Status
2. Chief complaint
3. Current medications
4. Drug allergies
5. H/O substance abuse
6. Concurrent medical problems
7. Communication Ability
How is Aspiration Risk Reduced - ANSWER- 1. Pre-procedure
fasting--Defined as no food for 6 hours prior to procedure. May
have clear fluids until 2h prior to procedure.
2. Medication is titrated to maintain reflexes
What conditions place patient's at enhanced risks for aspiration with
sedation? - ANSWER- 1. Obesity
2. DM
3. Pregnancy
4. Bowel Dysfunction
